Goodwill And Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2016

Goodwill and Intangible Assets Disclosure [Abstract]

Changes In Carrying Amount Of Goodwill

The changes in the carrying amount of goodwill for the nine months ended September 30, 2016 are as follows (in thousands):

Balance at December 31, 2015	$	3,970,210
Goodwill acquired, including post acquisition adjustments and consolidation transactions	332,945
Goodwill disposed, including impact of deconsolidation transactions	(3,053		)
Balance at September 30, 2016	$	4,300,102

Schedule of Finite-Lived Intangible Assets

Intangible assets at September 30, 2016 and December 31, 2015 consisted of the following (in thousands):

	September 30, 2016							December 31, 2015
	Gross							Gross
	Carrying		Accumulated					Carrying		Accumulated
	Amount		Amortization			Net		Amount		Amortization			Net
Amortizable intangible assets:
Customer relationships with hospitals	$	1,510,549	$	(128,065	)	$	1,382,484	$	1,379,977	$	(74,490	)	$	1,305,487
Capitalized software	87,690		(36,541		)	51,149		71,462		(28,125		)	43,337
Agreements, contracts and other	12,383		(4,084		)	8,299		11,267		(2,449		)	8,818
Total amortizable intangible assets	1,610,622		(168,690		)	1,441,932		1,462,706		(105,064		)	1,357,642
Non-amortizable intangible assets:
Trade name	228,000		—			228,000		228,000		—			228,000
Restrictive covenant arrangements	8,995		—			8,995		8,995		—			8,995
Total non-amortizable intangible assets	236,995		—			236,995		236,995		—			236,995
Total intangible assets	$	1,847,617	$	(168,690	)	$	1,678,927	$	1,699,701	$	(105,064	)	$	1,594,637